Individual
MACKENZIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19601 W BLUEMOUND RD STE 120, BROOKFIELD, WI 53045-5974
(262) 771-0065
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6107-154
WI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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